What should I consider before revision? (Ftm periareolar surgery) 6 months post op. (photos)

IMHO, there is still too much of a breast shape and liposuction alone will not remedy the problem. You are a thin person with very little subcutaneous fat on your chest and back. Therefore the breasts will also have very little fat tissue, just mostly remaining breast gland. Your areola is now larger than before surgery because of the added width of the dark scar; the lower breast fold remains noticeable because the ligamentous fibers have not been released fully.
My recommendation is a full revision with a keyhole approach and nipple grafting.

I would think you could get the liposuction and the areolar reduction at the same time. The areolar reduction should be done with a GoreTex or Prolene suture which is left in to reduce the risk of the areola spreading again

Hi,Thanks for the post and photos. Looking at how lean you are, it is unlikely that the fullness in your breasts is due to fat. Liposuction will likely not get you the contour you desire and you will need to have that tissue excised. At 6 months that can be done and there is no need to wait until you are 1 year post op. You will also need areolar reduction but I recommend staging this 6 months after your revision to reduce the risk of blood supply issues to your nipple and areola. Sincerely,Dr. Dadvand